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Home My WebLink About32849-Z FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-33103 Date: 06/18/08 THIS CERTIFIES that the building ADDITIONS/ALTERATIONS Location of Property: 5775 NASSAU (HOUSE NO.) County Tax Map No. 473889 Section III POINT RD (STREET) Block 13 CUTCHOGUE (HAMLET) Lot 5 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated MARCH 27, 2007 pursuant to whicb Building Permit No. 32849-Z dated MARCH 27, 2007 was issued, and conforms to all of the requirements of the applicable provisions of the law. The occupancy for which this certificate is issued is ADDITIONS AND ALTERATIONS, INCLUDING COVERED PORCH WITH BALCONIES ABOVE, TO AN EXISTING ONE FAMILY DWELLING AS APPLIED FOR. The certificate is issued to JOSEPH N & MARY L RIZZO, JR (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMKIlT OF HEALTH APPROVAL N/A ELECTRICAL CERTIFICATE NO. 1060108 05/09/03 PLOMBERS CERTIFICATION DATED 03/27/07 JOHN JAY CLASPER ~~",..'""' Rev. 1/81 So~ t<-i Z"Z--o ql1~ql;-Obq.-~ b1\- 1/q- 1000 ~-,) I~ ~~ ce ( ..IJ- ~{h'l.I Form No.6 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 H{2.3; APPLICATION FOR CERTIFICATE OF OCCUPANCY This application must be filled in by typewriter or ink and submitted to the Building Department with the following: A. For new building or new use: I. Final survey of property with accurate location of all buildings. property lines. streets. and unusual natural or topographic features. 2. Final Approval from Health Dept. of water supply and sewerage-disposal (S-9 form). 3. Approval of electrical installation from Board of Fire Underwriters. 4. Sworn statement from plumber certifying that the solder used in system contains less than 2/1 0 of I % lead. 5. Commercial building, industrial building, multiple residences and similar buildings and installations, a certificate of Code Compliance from architect or engineer responsible for the building. 6. Submit Planning Board Approval of completed site plan requirements. B. For existing buildings (prior to April 9, 1957) non-conforming uses, or buildings and "pre-existing" land uses: I. Accurate survey of property showing all property lines, streets, building and unusual natural or topographic features. 2. A properly completed application and consent to inspect signed by the applicant. If a Certificate of Occupancy is denied, the Building Inspector shall state the reasons therefor in writing to the applicant. C. Fees I. Certificate of Occupancy - New dwelling $25.00, Additions to dwelling $25.00, Alterations to dwelling $25.00, Swimming pool $25.00, Accessory building $25.00, Additions to accessory building $25.00, Businesses $50.00. 2. Certificate of Occupancy on Pre-existing Building - $100.00 3. Copy of Certificate of Occupancy - $.25 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 Date. 3/HJ() 1 New Construction: / Old or Pre-existing Building: Location of Property: 5?/.J f}e!I. "'4 -" ~ t2.tL House No. Street Owner or Owners of Property: f ~ \>- ~ ~t11\ Suffolk County Tax Map No 1000, Section III Block Subdivision /Ja SSa.u fJr. Cluh ~~i-...t Filed Map. Permit No. -;w d..: 7 Date of Permit. 3 - J;i 7.07 Applicant: t€t '2- ~ Health Dept. Approval: 3,).'8'/q r~1 Underwriters Approval: Hamlet Lot 0" 'fo Lot: Planning Board Approval: Request for: Temporary Certificate Final Certificate: Fee Submitted: $ ..5B QJ P:J'{ ~c\..,\t u....rJ L.--l ~ '0 8 e:..lo 2'0;'\03 ."...-- (check one) ~_-#I-'~ ~ ~~an: Signature I ~ /1,,-;' '. . frl::>- ~ -- Fax (631) 765-9502 Telephone (631) 765-1802 Town Hall, 53095 Main Road P:O. Box 1179 Southold, New York 1197] .0959 BUILDING DEPARTMENT TOWN OF SOUTHOLD CERTIFICATION ~ Building Permit No. .-.- Owner: ..:]OS€,.'" h I?/Z'lo. ..:r;e, (Please print) Plumber: 3D \t1\ }' II". C' L ~ f'~ (Please print) Date: tJ '. f#-d.k-;).J7 :t;; ~ ~;J.g4q (2.) 3.27.o7/t I certify that the solder used in the water supply system contains less than 2/10 of 1% lead. ~~ --' lumbers 19nature) Sworn to before me this d.. 1 dayof ~ ,20Ql ~IJ.~ !D" ." 5 I-~ 1 1\ ~ Notary Public, ~county ARLENE H. SHELTON NlllIIry Public. State of Now Yolk No. 4877430 Qu.lifled in Suflolk County.) 01 D CoInml8llon Expir81 Dee. 115. =- ; I '.. . ....J I "_~;""~. 1iI.~1iI ~ . f) p .;:-~ ). r1 +- ~ (, '})'"jd.- ~ ~ . BY THIS CERTIFICATE OF COMPLIANCE THE ~ ~ NEW YORK BOARD OF FIRE UNDERWRITERS ; ~ BUREAU OF ELECTRICITY ~ ~ 40 FULTON STREET - NEW YORK, NY 1 0038 ~ ~ CERTIFIES THAT ~ ~ ~ ~ Upon the application of upon premises owned by ~ ~ ~ ~ DELCON SYSTEMS, INC. JOSEPH & MARY LYNN RIZZO ~ ~ 1401 CHURCH STREET 5775 NASSAU POINT ROAD ~ ~ BOHEMIA, NY 11716, CUTCHOGUE, NY 11935 ~ ~ Located at 5775 NASSAU POINT ROAD CUTCHOGUE, NY 11935 ~ ~ ~ ~ Application Number: 1060108 Certificate Number: 1060108 ~ I Section: 1000-11.,Block: 13 Lot: 05 BuildingPermit:28217Z BDC: NS11 I ~ Described as a Residential occupancy, wherein the premises electrical system consisting of ~ ~ electrical devices and wiring, described below, located inion the premises at: ~ ~ Basement, First Floor, Second Floor, Attached Garage, Outside, Pool/Spa, ~ ~ ~ I was inspected in accordance with the National Electrical Code and the detail of the installation, as set forth below, was I ~ found to be in compliance therewith on the 9th Dayof May, 2003. ~ ~ Name OTY Rate Rating Circuit ~ ~ ~ Miscellaneous ~ ~ Inspection includes-service - ~ ~ I st floor changes ~ ~ 2ud floor addition & pool ~ ~ 1-50 amp steam unit ~ ~ Alarm and Emergency Equipment ~ ~ Sensor 2 0 Carbon Monoxide ~ ~ Sensor 12 0 Smoke ~ ~ Appliances and Accessories ~ ~ Time Clock/Switch 2 0 ~ ~ Furnace I 0 Oil F.!I ~ ExhaustFan 3 0 F.R.P. ~ ~ R ydro Massage Tub, Residential I 0 ~ ~ Compactor I 0 F.H.P. ~ ~ Dish Washer I 0 1.2 KW ~ ~ Air Conditioner I 0 24.000 BTU ~ ~ s~1 ~ ~ Air Conditioner I 0 36.000 BTU ~ ~ Air Conditioner I 0 48.000 BTU ~ ~ Continued on Next Page I of 3 ~ ; This certificate may not be altered in any way and is validated only by the presence of a raised seal at the location indicated. ; 1iI.1i1 j" . l!I.l!I I ' BY THIS CERTIFICATE OF COMPLIANCE THE I ~ NEW YORK BOARD OF FIRE UNDERWRITERS ~ ~ BUREAU OF ELECTRICITY ~ ~ 40 FULTON STREET - NEW YORK, NY 1 0038 ~ ~ CERTIFIES THAT ~ ~ ~ ~ Upon the application of upon premises owned by ~ ~ ~ ~ DELCON SYSTEMS, INC. JOSEPH & MARY LYNN RIZZO ~ ~ 1401 CHURCH STREET 5775 NASSAU POINT ROAD ~ ~ BOHEMIA. NY 11716, CUTCHOGUE, NY 11935 ~ ~ Located at 5775 NASSAU POINT ROAD CUTCHOGUE, NY 11935 ~ ~ ~ ~ Application Number: 1060108 Certificate Number: 1060108 ~ ~ Section: 1000-111Block: 13 Lot: 05 Building Permit: BDC: NS11 ~ ~ 28217Z ~ ~ Described as a Residential occupancy. wherein the premises electrical system consisting of ~ ~ electrical devices and wiring. described below. located inion the premises at: ~ ~ Basement, First Floor, Second Floor, Attached Garage, Outside, Pool/Spa, ~ I I ~ was inspected in accordance with the National Electrical Code and the detail of the installation. as set forth below. was ~ ~ found to be in compliance therewith on the 9th Dayof May, 2003. ~ ~ Name OTY Rate Ratin. Circuit ~ ~ ~ Pool/Spa Bonding I 0 ~ ~ Furnace I 0 Gas ~ ~ Time Clock/Switch I 0 ~ ~~ ~ ~ I 200 30 ~ ~~~~ ~ ~ Receptacle 35 0 General Purpose ~ ~ Switch 34 0 General Purpose ~ ~ Fixture III 0 Incandescent ~ ~ Arc Fault Circuit Interrupter 6 0 15 amp ~ ~ Paddle Fan I 0 ~ ~ Receptacle 13 0 GFCI ~ ~ Fixture I 0 Pool/Spa ~ ~ Receptacle I 0 20 amp Pool/Spa ~ ~ GFCI Circuit Breaker I 0 15 amp Pool/Spa ~ ~ GFCI Circuit Breaker I 0 20 amp Pool/Spa ~ ~ seal ~ ~ Service ~ ~ I Phase 3 W Service Rating 200 Amperes ~ ~ Continued on Next Page 2 of 3 ~ I This certificate may not be altered in any way and is validated only by the presence of a raised seal at the location indicated. I l!I.l!I "J1!'II,O' --or ------.:---- - ----,------c---,---,_.,"--^"""'''~-- --~?':--'--' "::~~ I!I.I!I ~ . ~ ~., BY THIS CERTIFICATE OF COMPLIANCE THE ~ ~ NEW YORK BOARD OF FIRE UNDERWRITERS ~ I BUREAU OF ELECTRICITY ~ ~ 40 FULTON STREET - NEW YORK, NY 1 0038 ~ ~ ~ ~ CERTIFIES THAT ~ I Upon the application of upon premises owned by I ~ ~ ~ DELCON SYSTEMS, INC. JOSEPH & MARY LYNN RIZZO ~ ~ 1401 CHURCH STREET 5775 NASSAU POINT ROAD ~ ~ BOHEMIA, NY 11716, CUTCHOGUE, NY 11935 ~ ~ ~ ~ Located at 5775 NASSAU POINT ROAD CUTCHOGUE. NY 11935 ~ I Application Number: 1060108 Certificate Number: 1060108 I ~ Section: 1000-11'13lock: 13 Lot: 05 Building Permit: Z BDC: NS11 ~ ~ 28217 ~ ~ Described as a Residential occupancy. wherein the premises electrical system consisting of ~ ii!l electrical devices and wiring, described below, located inion the premises at: ii!l I Basement, First Floor, Second Floor, Attached Garage, Outside, Pool/Spa, I ~ ~ ~ was inspected in accordance with the National Electrical Code and the detail of the installation, as set forth below, was ~ ~ found to be in compliance therewith on the 9th Dayof May, 2003. ~ ~ Name OTY Rate Ratin. Circuit ~ ~ ~ Service Disconnect: I 200 cb ~ ~ Meters: 1 ~ ~ (Swimming Pool): This certificate covers compliance at the date of inspection only. Because ofunusuat environments it is advisable to have ~ ~ frequent test and/or repairs made by a qualified person. ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ seal i ~ ~ ~ 3 of 3 ~ I This certificate may not be altered in any way and is validated only by the presence of a raised seal at the location indicated. I I!I.I!I GUARANTE:FS INDICA TE:D HOlE ON SHALL RUN ONL Y TO 1HF P(1f'Sa<( FOR MH()#,J THF SVR\lCY IS PRCPAROJ. AND ON HIS BfHALF TO THF nnE COMPANY, GOVERNMENTAL AGENCY, LENDING INSTlTUl1ON. IF liSTED HFREON. AND TO THF ASSICNCCS OF THE" LENDING fNSl1TUl1DN. OOARANTE:B ARF NOT TRANSFERABLE TO ADDITIONAL INSTITUTIONS OR Sl.J8SEOf.JFNT D~S. UNAUTHORfzrn AL TD?A T10N OR ADOfnoN TO THIS SUR\lCY IS A W'aA TlON OF SECTION 7209 OF THe NFW YORK STATE: E:DUCAT1ON LAW. COPIFS OF THIS SlJR'VCY MAP NOT SEARING THF LAND SUR\oCY(1li"S DlBOSSCD SEAL SHALL NOT lK CONSIOCRUJ TO Be A VALID TRUE COPY. -i n; ZII )>.j>. If)g If) )> C u o Z -I FM# 156 DATE FILED AUG. 16.1922 TM# 1000-111-13-05 GUARANTEED TO: JOSEPH N. RIZZO. JR. MARY LYNN RIZZO NATIONAL LAND TENURE CO. TITLE # NLT 465D-S-Ol PECONIC BAY ROAD :;:0 o )> o LOT 39 N 79'46'00"E - ~ FD CM 321.28' 2 RAIL FENCE '" CM IX> U / 1 .-/ /' F NCE / LENd FE \ I Ff:NCE COR/ 1.2' '" S p.3'/ { ( ~ I I WOOD ~ \ ros / 6.6 Z "__/ \ I I I '1 \ \ \ \ I . ,,- Z I C) \ \ . '" " 52 \ \ \ I 8 i'l "tl", \ \ \ \ . '" ~ z \ \ . ~'" 0 0 \ ~, c. . " .-- wopo ~TEP~ CJ \ \ \ """ .-- ~ \ \ . .:.... . Ul \ w :2: ~\\ \ \ 46.1 I U1 $: \'b , 0 \ \ \ \.l? \ J:>OURED ~ 15" OIA. POURED ~ I I I CO f'1 )> --- 0 \cP. CONCRETE roOTING , , \'faD ~TFORM' I) , c:: LJ ~ \J. \ \ \ \.l? \,&, CONC. < ~ I r- r- C) \fOOTING .... I w/s I TS I I,' ~ ~ ~ \r:~t\ v' \ 'G, (- \ \ \ \ I r;; f'1 0 \.l? \ r.r' 9 g:t' 0'_ " \ \ 7.4 I I I I I ( I CJ ~ W ~ '\' \ , \ -/>. -l> "- -~ - c7i I CD \ ,N. \ I I I g/ I ~I' 0 - 'b~ " I j, I j/ \, j2 2: \ ~PHAl..> DRNEWAY W IBL~CK CURBI G .~I /I i'l ):> ....J ~ ........ ........ \w1 IlUl I lU1 , lU " ........ " \ ~9.69\ " -< " ........" FD 70.84 "- S 79'41 '40"W 300.89' LOT 41 SURVEY OF LOT 40 SURVEYED: 5 DECEMBER 2001 SCALE 1'= 30' AREA = 31.067.94 S.F. OR .71 3 ACRES IN AMENDED MAP A OF NASSAU POINT CLUB PROPERTIES, INC. SfTUATE CUTCHOGUE, TOWN OF SOUTHOLD SUFFOLK COUNTY, N.Y. SURVEYED BY STANLEY J. ISAKSEN, JR. P.O. BOX 294 NEW SUFFOLK. N.Y. 631 734-5835 01Rl090 SURVEYED FOR: JOSEPH N. RIZZO, JR. MARY LYNN RIZZO 19 APRIL 02 LOCATE POURED FOUNDATION ADDITIONS. COLUMN FOOTINGS, & POOL LOC. 23 JAN 02 ADD CONTOURS, 1 ST FLOOR ELEV. FORM NO. 3 TOWN OF SOUTHOLD BUILDING DEPARTMENT Town Hall Southold, N.Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) PERMIT NO. 32849 Z Date MARCH 27, 2007 permission is hereby granted to: JOSEPH N RIZZO JR 5775 NASSAU POINT RD CUTCHOGUE,NY 11935 for : ADDITIONS AND ALTERATIONS TO A SINGLE FAMILY DWELLING AS APPLIED FOR. THIS PERMIT REPLACES BP 28217. at premises located at 5775 NASSAU POINT RD CUTCHOGUE County Tax Map No. 473889 Section 111 Block 0013 Lot No. 005 pursuant to application dated MARCH 27, 2007 and approved by the Building Inspector to expire on SEPTEMBER 27, 2008. ,..,-------- Fee $ 576.30 re ORIGINAL Rev. 5/8/02 FORM NO. 3 TOWN OF SOUTHOLD BUILDING DEPARTMENT Town Hall Southold, N.Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) ~ ~'3'19 k-A., PERMIT NO. ~7 Z Date MARCH 26, 2002 ....,.... permission is hereby granted to: FRANCES SCHULTZ 16 OAK ST WOODMERE,NY 11598 for : ADDITIONS AND ALTERATIONS TO A SINGLE FAMILY DWELLING AS APPLIED FOR at premises located at 5775 NASSAU POINT RD CUTCHOGUE County Tax Map No. 473889 Section 111 Block 0013 Lot No. 005 pursuant to application dated FEBRUARY 11, 2002 and approved by the Building Inspector. Fee $ 576.30 \. --- t Signature ORIGINAL Rev. 2/19/98 -.-..\ .-- )J>KLZc ~:) ..'+2fC[ f{' ~ 765.1802 BUILDING DEPT. SPEeTION [ [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [] INSULATION [ ] FRAMING [ ] FINAL [ ] FIREPLACE & CHIMNEY / REMAR~~ ~-f!!1.. lh ~I Gwr7~ t;!;; 0~, * --c~!JtA<~ t4- DATE j~ f MNSPECTOR 4 SrL-:>f l~Ck ~f'hl-?~ '?:> :::r<:'}\C\ 2- 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] FOUNDATION 2ND [ ] FRAMING [ ] FIREPLACE & CHIMNEY REMARKS: ....W~ ~, c;..".., J4 ~ ( .JJ..,. J~r If ~.h~t . [ [ [ ] FINAL PLBG. ~ ---- 7/]a /t?}/ INSHCTOR I DATE ~7e- ~d-'>~'-Fl 1 e y'l 765.1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1 ST [ ] FOUNDATION 2ND [ ] FRAMING [ REMARKS: [ ] R~GH PLBG. [ ~NSULATION [ ] FINAL ] FIREPLACE & CHIMNEY -" " ~~~~ ~{j ~7( DATE - ;; 2-fsc/-t TOWN OF SOUTH OLD BUilDING DEPT. 765.1802 INSPECTION [ ] FOUNDATION 1 ST ] ROUGH PlBG. [ ] FOUNDATION 2ND ] INSULATION [ ] FRAMING I STRAPPING ] FINAL [ ] FIREPLACE & CHIMNEY [] FIRE SAFETY INSPECTION [ ] RRE RESI~ CONSTRUCTION [ ] FIRE RESISTANT PENETRATION REMARKS~~ ~~ eJrhAJ (Ur~ (~A~-L (~JLr~k~)- r2 . t ~f ;J J - ;J ~ fl-- 5~. ... DATE~ ~'ll 07 INSPECTOR ~ 3 t-?Jer-c- TOWN OF SOUTH OLD BUILDING DEPT. 765.1802 INSPECTION [ ] FOUNDATION 1ST [ ] FOUNDATION 2ND [ ] FRAMING I STRAPPING [ ] FIREPLACE & CHIMNEY [ ] RRE RESISTANT CONSTRUCTION [ ] ROUGH PLBG. [ ] I~ATION [ ;{FINAL [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT PENETRATION REMARKS: 7a' , f' INSPECTOR ..~ 3> ')--{ 'f cr z. TOWN OF SOUTH OLD BUILDING DEPT. 765.1802 INSPECTION [ ] FOUNDATION 1 ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING I STRAPPING h'FINAL [ ] FIREPLACE & CHIMNEY [] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION REMARKS: Q_ F~ ~,'<2 ok/ E~ , ~ ~ .)$2r ~d2 I DATE ~ -3 -tJ r INSPECTOR ~~~ , FOUNDATION (1ST) COMMENTS ",~r G..JI";~' ~r;- ~CfL~/J' n~~, ~ ----- ~;L-~~~. --, -- p Zz. ')~f_ -, ------ ~--J2:l-.C -'" ",---- :r., i"l ~...,., . t;J (\ .::: ' , =1 L ~""jl t$ FIELD INSPECTION REPORT FOUNDATION (2ND) -+ FINAL z ~ ROUGH FRAMING & PLUMBING \ ~ ~ .. i"l .,,-.., \ :, I., ~~ c ;;\.. ) INSULATION PER N. Y. STATE ENERGY CODE ;;> '7~ .L..J' ::: t"" --11- .~~ T (.J i $=:0 'b ' -~ --- - __, _ .L ~'~L_ lJ\ " \ . ~ r r- .-'n. G.Q - ::e z ~.m -Z..:O(O ;.-, -, " ~ n (j .J) , n-p,~V ,/ .., ..J ~ ;; \ \\ >- 0 '::!o<' .~ 0 (-\., Z :: i"l I ~ ~ i"l .., ~ ~ ~ -~ F r r\-1 ~ P' TOWN OF SOUTHOL -. r.,-------" , . BUILDINGDEPAR ~t ~1'"8 ,.,. TOWN HALL '-k:: r-') ...) SOUTH OLD, NY 11971 TEL: 765-1802 PERMIT NO. 3 ),&VC] ~ ~ BUILDING PERMIT APPLICATION CHECKLIST Do you have or need the following, before applying ? Board of Health 3 sets of Building Plans Survey Check Septic Form N.Y.S.D.E.C. Trustees Contact: Tf"" HU1G. r'tf'~. I ,.-. '::. ~. i~' _'~-' ,,-,, '" Approved Disapproved a/ c ,20_ ,20_ Mail to: Examined Phone{ G,;; 'JF5E?'-{- zexoe (b?i) 77'-/- 2-z-~z..ceu... ~\A,..1 C-APo Building Inspector APPLICATION FOR BUILDING PERMIT Date ,20_ INSTRUCTIONS a. This application MUST be completely filled in by typewriter or in ink and submitted to the Building Inspector with 3 sets of plans, accurate plot plan to scale, Fee according to schedule. b. Plot plan showing location oflot and of buildings on premises, relationship to adjoining premises or public streets or areas, and waterways. c. The work covered by this application may not be commenced before issuance of Building Pen:nit. d. Upon approval of this application, the BUilding Inspector will issue a Building Pen:nit to the applicant. Such a pen:nit shall be kept on the premis~ available for inspection throughout the work. e. No building shall be occupied or used in whole or in part for any pUIpose what-so-ever UJJ1il a Certificate of Occupanc) is issued by the Building Inspector. APPLICATION IS HEREBY MADE to the Building Department for the issuance of a Building Pen:nit pursuant to the Building Zone Ordinance of theToWIi of Southold, Suffolk CoUnty, New York, and other applicable Laws, Ordinances or . Regulations, for the construction of buildings, additions, or alterations or for removal or demolition as herein described. The applicant agrees to comply with all applicable laws, ordinances, building code, ho . and regu:lations, and to admit jluthorized inspectors on premises and in building for necessary inspections. (Sign8ture of applicant. or DIU.lJ", if a corporation) In J j./tf<;f4 (,/ jb/'A-r {4. evrcjft? (j'ttru:'f (19'~J .. ~ of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or.builder o II\J WE R. Name of owner of premises vt0Gplf AI ilv~~nt~r~~es~~ Ii:no If applicant is a corporation oignature of duly authorized officer (Name and title of corporate officer) Builders License No, \S-;"t~ -\-II: (Sv~\C--) Plumbers License No. 2. q 5<0- 'P ('5urf'ol..-~ ') ElectriciansLicenseNo. 4S-Co - E (Sufh'-:~) Other Trade's License No. ._~ ./-- House Number If 7J Hamlet I. Location of! County Tax Map No. 1000 Section Subdivision iii Block / .:) Filed Map No. . Lot ~ Lot (Name) 2~ State existing use aridoecupancy of pte!nises and intended use an~cy~(proposed construction: a. Existinguseandoocupimcy ~\t-.1G.,-li:: F A-M''-~t... b. Intended use and occupancy ~\ ".J ""...r.:.. rA.>^lw-( ~ M €.- 3. Nature of work (check which applicable): New Building Repair . Removal Demolition f ;' 4. Estimated Cost y..~OI ~, / Alteration / Addition Other Work (Description) Fee 5. If dwelling, number of dwelling units If garage, number of cars T v-J 0 6. Ifbusiness, co=ercial or mixed occupancy, specify nature and extent of each type of use. l")'" Rear '1'2..'-0. 7. Dimensions of existing stroctures, if any: Front. "2-- 0 Height :2..1 '- 0 Number of Stories \ '/7- (to be paid on filing this application) Number of dwelling units on each floor Depth 44~o" w/rxc't.. . Dimensions of same structure with alterations or additions: Front 117- - 0' Rear '1?.'-o" Depth 44'-0" Height '?'2 I -0. Number of Stories 2.. 8. Dimensions of entire new construction: Front ~'2.. j -0" Height ~ Z '-0' Number of Stories Depth 4'--1'-0. 9. Size oflot: Front , \00 Rear 100' Depth :S21' NameofFormerOwner t${,(4'f tJfl PI/,JI1ICIf'S ~11. I-/r 10. Date of Purchase {~flY ov 11. Zone or use district in which premises are situated 12. Does proposed construction violate any zoning law, ordinance or regulation: tJ... 13. Will lot be recgraded Y ~ . Will excess fill be removed from premises: YES <iillJ Address Phone No. Address )..{ ~tzc.. LIV. -;;...fI/t7..,./ Phone No 721.{- 78 '6 {j U 'i' ,) , Address'2.'lf'lC~ Me... Phone No, f5~'1.g1506 (1,<') ~.>~ 14. Names of Owner of premises Name.of Architect 10"'1 e...,-"-,,, Name of Contractor? D\7~...AC,.b 1).)(. . 15. Is this property within 100 feet of a tidal wetland? *YES . NO '><" . IF YES, SOUTIIOLD TOWN TRUSTEES PERMITS MAY BE REQUIRED 16. Provide survey, to scale, with accurate foundation plan and distances to property lines. 17. IfeleVation at any point on property is at 10 feet or below, must provide topographical data on survey. STATE OF NEW YORK) ./ SS: COUNTY OF tJ~ ) -;r;'-:!lt tV, 4')--)--0 . being duly sworn, deposes and says that (s)he is the applicant (Nam of individual signing contract) above named, (S)He is the (Contractor, Agent, Corporate Officer, etc.). of said owner or owners, and is d)lly authorized to perfOIIl1 or have performed the said work and to make and file this application; that all statements contained in this application are trne to the best of his knowledge and belief; and that the work will be performed in the manner set forth in the application filed therewith. . SwomJo before methis~, lUlH AU / b dayof~ 20P'Z-- /Hk ~_~ V'L ~ Notary Public ~ Signature of Applicairt ANTHONY A. MERCALDO NOTARY PUBLIC. Slale of New York No 4945392 Oualifled in Na. s~u ~y _ Commission Exp~ ~ New York State Department of Environmental Conservation Division of Environmental Permits, Region One Building 40 - SUNY, Stony Brook, New York 11790-2356 Phone: (631) 444-0365 . FAX: (631) 444-0360 Website: www.dec.state.ny.us ~ ~ ......,. Erin M. Crotty Commissioner LETTER OF NON JURISDICTION-TIDAL WETLANDS Joseph Rizzo 5775 Nassau Point Road Cutchogue, NY 11935 March 14, 2002 Re: Application #1-4738-00657/00005 Rizzo Property, Same as Above Dear Mr. Rizzo: Based on the information you have submitted, this Department has determined that: The property landward of the 50 foot contour elevation line, as shown on the survey prepared by Stanley Isaksen last revised on 23 Jan 02, is beyond the jurisdiction of Article 25 (Tidal Wetlands Act). Therefore, in accordance with the current Tidal Wetlands Regulations (6NYCRR Part 661) no permit is required. Please be advised, however, that no construction, sedimentation, or disturbance of any kind may take place seaward of the tidal wetlands jurisdictional boundary, as indicated above, without a permit. It is your responsibility to ensure that all precautions are taken to prevent any sedimentation or other alteration or disturbance to the ground surface or vegetation within Tidal Wetlands jurisdiction which may result from your project. Such precautions may include maintaining adequate work area between the tidal wetland jurisdictional boundary and your project (i.e. a 15' to 20' wide construction area) or erecting a temporary fence, barrier, or hale bay berm. Please be further advised that this letter does not relieve you of the responsibility of obtaining any necessary permits or approvals from other agencies. Very truly yours, #/1 Mark C Carrara Permit Administrator cc: BMHP /600 - J// -/3-" , OWNER ~ r- Sch.../T2- FOR~AER OWNER C~ rt" ~. 7Z: "- tJ1j,v' .. RES. ,lio LAND / 00) ./ ," c'7J /~'-, /", ,~j 7 () () ~) ,,} ",,' 0 'J.~~ Farm Tillable 1 Tillable 2 Tillable 3 Woodland Swampland Brush~d ,.. '" House Plot Total a x It',- J;- SEAS. IMP. SJo (l 7(/ t.> 0 9 J 00 NORMAL Acre TOWN OF SOUTHOLD PKOPERTY RECORD CARD 1/.6 STREET 5'7 ~/;:- ;,[.j'S'.J" /!;/~f /(o~1 N VILLAGE SUB. LOT -# Y'P DISTRICT &<.-:t2i I-t'J I t C E (; (' /' ACREAGE ."" '">. ~ . ( :.":> t :~~ /',.,C,"___ S TYPE OF BUILDING W VL. FARM I IND. ---'-- I MISe. 'I ~-'-"'"--_.__._--------._._.~-- COMM. CB. TOTAL DATE '(1 7~ ~ :I~'r' .2 r ,J'dO, fd -':~r (Jf! e/f"" ..- pi.' /' ..t?/,- 7 f,) "/ C\)~(pl q ,\~..... 1- ""0 5'1.1."/,;;,,,;. -b.J:..Py..:.... (-..Iv/ /'1 ';'" IV;:',,~, - .. -. ',v~..J/ cfd;l %flh J:Jr 11'136 ("'t;!;- ,;~::\C/. ,"~l~,c~ U(.t?M ~ /XI ' / .II ~ / .' ./.. (;"" L 9:2-(.:J-- I y~ ,5;0('" .J3.s:cJ~tJ CdNS,,/,!0- /- "ehv/ri!-.? '_ / OD L41tIJ__ ;2..riJ u (; fir j, eQde.d ",1..f,.. -= 2J.()() 'tJ ..ft, ABOVE Value Per Acre Value c '- " JPv :0' " .~ ' , ~-- ~ !>r"~1iI.....-l ,. / ' I Y" i i ("",\ . ' i 1 I i.' '" ~J i ''1 ~/ , " ~: r\ oJ "/", r' i i . . i t4 [;t ;;: [I" 'I, 1 .;, .....~" ;;.; c-'....~. ::;;,t '" \f. ,~...,-: ~"'::~. C",,"'-""::'i~_:~';';;'''i''') ..' ~~~~r-~,;;:;.:.~ ...... ~';;:~::.-.<_,. '~7~~~J..(Bf., ". i M. Bldg, l,,;z.s- X t/ /: / ~ ~,j- Extension /9 i z !i ~ L} 75 Extension Extension Breezeway Garage O. B. (1('v fj X 13; ;0 l{ 60'/ c. X S'/ .. J z +' ) / D II I' ~ / :>- <) { ~{/ -s' /~)( 6.3 ',?~~ t;} !./X}'l.'?;- J'~y . f~ .~iJ O;~ ~f'P- ,0 n:u ,/-u , ..< .r I fI .25' ;1./1 :z 2- )().. If " . I 53--- S::z.,~ I~. 791 j..?t q-n a/ '7' #-~ .,r- ~ i 7'OQ 1/t133t Foundation Basement Ext. Walls Fire Place Patio Driveway \ "I .. (p I Bv"'''d Q,.. ,,,1 Bath F u L L Floors Wool) SIf).'!\ k"lnterior Finish 11vtJ Heat Porch Attic Porch Rooms 1 st Floor " Rooms 2nd Floor ,...... ( .... ..~ ., .2.~ 7l...e", ~c""c1".. JIf, ~ e; B. g }f; iJI -, FEDERAL EMERGENCY MANAGEMENT AGENCY NATIONAL FLOOD INSURANCE PROGRAM a.M.B. No. 3067-0077 Expires July 31, 2002 ELEVATION CERTIFICATE BUILDING OWNER'S NAME 1m ortant: Read the instructions on a es 1 - 7. SECTION A - PROPERTY OWNER INFORMATION Jr F.or Insurance Company Use: Polley Number CQh1pany NAIC Number STATE ;..J ZIPCODE IF?.. 5 LI Other: SECTION B - FLOOD INSURANCE RATE MAP (FIRM) INFORMATION B1. NFIf',COM~UNITY NAME & COMMUNITY NUMBER B2. COUNTY NN'1E B3. STATE, , s: ,.(fI1()/d. MtJ#f ~ 3<oo~ 13 .' d/< /V~L{) B4. MAP AND PANEL B5. SUFFIX B6. FIRM INDEX B7. FIRM PANEL B8. FLOOD B9. BASE FLOOD ELEVATION(S) .2/ NUMBER.I G DAT~i EFFECTIVElREVISED,gI'-TE Z E(S) (ZoneAO, use depth 01 flooding) JfPI 3C ~/(Pr- G a '7j Iff. ;fie>' ~ ffrJ' B10. Indicate the source 01 the Base Flood Elev tion (BFE) data or base flood depth entered in B9. I_I FIS Profile J.k1 FIRM I_I Community Determined I_I Other (Describe): B11. Indicate the elevation datum used lor the BFE in B9: ~I NGVD 1929 I_I NAVD 1988 I_I Other (Describe): B12. Is the building located in a Coastal Bamer Resources System (CBRS) area or Otherwise Protected Area (OPA)? I_I Yes IKI No Designation Date: SECTION C - BUILDING ELEVATION INFORMATION (SURVEY REQUIRED) C1. Buildin9 elevations are based on: 1_IConstruction Drawings" I_I Building Under Construction" I_I Finished Construction "A new Elevation Certificate will be required when construction 01 the building is complete. C2. Building Diagram Number _ (Select the building diagram most similar to the building lor which this certificate is being completed - see pages 6 and 7. II no diagram accurately represents the building, provide a sketch or photograph.) C3. Elevations - Zones A 1-A30. AE. AH, A (with BFE). VE, V1-V30, V (with BFE), AR, AR/A, ARiAE, ARiA 1-A30, ARiAH, ARiAO Complete Items C3.a-i below according to the building diagram specified in Item C2. State the datum used. If the datum is different from the datum used for the BFE in Section B, convert the datum to that used for the BFE. Show field measurements and datum conversion calculation. Use the space provided or the Comments area of Section D or Section G, as appropriate. to document the datum conversion. Datum Conversion/Comments Elevation reference mark used Does the elevation reference mark used appear on the FI o a) Top of bottom floor (including basement or enclosure) . _ ft.(m) .. o b) Top of next higher floor . _ ft.(m) i K' o c) Bottom of lowest horizontal structural member fI/ zones only) . _ ft.(m) it ~ ~ o d) Attached garage (top of slab) . _ ft.(m) j1-g ':). De) Lowest elevation of machinery and/or equipment ~ ~ .l! 5 " servicing the building (Describe in a Comments area.) . _ ft.(m) E" . V o f) Lowest adjacent (finished) grade (LAG) . _ ft.(m) ~.~ -'; ~'" " o g) Highest adjacent (finished) grade (HAG) . _ ft.(m) c '" ~ o h) No. of permanent openings (flood vents) within 1 ft. above adjacent grade ~ ';-- \'1:, o i) Total area of all permanent openings (flood vents) in C3.h sq. in. (sq. em) "'- SECTION D - SURVEYOR, ENGINEER, OR ARCHITECT CERTIFICATION This certification is to be signed and sealed by a land surveyor, engineer. or architect authorized by law to certify elevation information. / cerlify thet fhe Information In Sections A. B, and C on this certlflcafe represents my best efforts to Interpret the data available. / undarstandthat an false statement ma be punishable by fine orlmprisonmanf under 18 U.S. Code, Section 1001. CERTIFIER'SNAME ~1.1. v-: ~Q. .<;.eI1/J;- L1CENSENUMBER,,{! ~ 1..5.# 9'.273 TITLEOtV/t,er &Ie. //e d'y COMPANYNAME 'j.p111~ .:T. r~~<2"'.vr. L,S. ADDRESS 1::70 ;;"9 tf CITY{'J-i'tl) SLl~r:-A STATE ;J t ZIP CODE 1 (? 56 SIGNATURE DATE -.:;;" 0;1.. TELEPHON 63f-73</ -5'83~ FEMA Form 81- ERSE SIDE FOR CONTINUATION REPLACES ALL PREVIOUS EDITIONS IMPORTANT: In these spaces, copy the corresponding Information from Section A. BUILDING STREET ADDRESS (IncludingJ\Pl., Unit, ~Ite, and/or Bldg. No.) OR P.O. ROUTE AND BOX NO. 5'17 erJ'SQ ;-6,,,,1- K.<7d CITY (J II V ~ STATE ;U ;1 1~E Company NAIC Number SECTION D - SURVEYOR, ENGINEER, OR ARCHITECT CERTIFICATION (CONTINUED) Copy both sides of this Elevation Certificate for (1) community official, (2) insurance agenUcompany, and (3) building owner. COMMENTS For Insurance Company Use: Policy Number I I Check here if attachments SECTION E - BUILDING ELEVATION INFORMATION (SURVEY NOT REQUIRED) FOR ZONE AO AND ZONE A (WITHOUT BFE) For Zone AO and Zone A (without BFE), complete Items El. through E4. If the Elevation Certificate is intended for use as supporting information for a LOMA or LOMR-F, Section C must be completed. El. Building Diagram Number _ (Select the building diagram most similar to the building for which this certificate is being completed- see pages 6 and 7. If no diagram accurately represents the building, provide a sketch or photograph.) E2. The top of the bottom floor (including basement or enclosure) of the building is 1_1-1 It.(m) 1_1_lin.(cm) I_I above or LJ below (check one) the highest adjacent grade. (Use natural grade, if available.) E3. For Building Diagrams 6-8 with openings (see page 7), the next higher floor or elevated floor (elevation b) of the building is 1-1-1 It.(m) 1_1_lin.(cm) above the highest adjacent grade. Complete Items C3.h and C3.i on front of form. E4. For Zone AO only: If no flood depth number is available, is the top of the bottom floor elevated in accordance with the community's floodplain management ordinance? I I Yes I I No I I Unknown. The local official must certify this information in Section G. SECTION F - PROPERTY OWNER (OR OWNER'S REPRESENTATIVE) CERTIFICATION The property owner or owne~s authorized representative who completes Sections A, B, C (Items C3.h and C3.i only), and E for Zone A (without a FEMA-issued or community-Issued BFE) or Zone AO must sign here. The statements in Seclions A, B, C, and E are correcl 10 Ihe besl of my knowledge. PROPERTY OWNER'S OR OWNER'S AUTHORIZED REPRESENTATIVE'S NAME ADDRESS CITY STATE ZIP CODE SIGNATURE DATE TELEPHONE COMMENTS I Check here if attachments SECTION G - COMMUNITY INFORMATION (OPTIONAL) The local official who is authorized by law or ordinance to administer the community's floodplain management ordinance can complete Sections A, B, C (or E), and G of this Elevation Certificate. Complete the applicable item(s) and sign below. Gl. 1-1 The information In Section C was taken from other documentation that has been signed and embossed by a licensed surveyor, engineer, or architect who Is authorized by state or local law to certify elevation information. (Indicate the source and date of the elevation data in the Comments area below.) G2. 1-1 A community official completed Section E for a building located in Zone A (without a FEMA-issued or community-issued BFE) or Zone AO. G3. U The following information (Items G4-G9) is provided for community floodplain management purposes. 04. PERMIT NUMBER G5. DATE PERMIT ISSUED G6. DATE CERTIFICATE OF COMPLIANCE/OCCUPANCY ISSUED G7. This permit has been issued for: I_I New Construction 1-1 Substantial Improvement G8. Elevation of as-built lowest floor (including basement) of the building is: G9. BFE or (in Zone AO) depth of flooding at the building site is: LOCAL OFFICIAL'S NAME . _ It.(m) Datum: . _ It.(m) Datum: TITLE COMMUNITY NAME TELEPHONE SIGNATURE DATE COMMENTS FEMA Form 81-31, JUL 00 I Check here if attachments REPLACES ALL PREVIOUS EDITIONS